Quality Assurance (RN)
The Coordinator of Nursing Quality and Safety is a unique opportunity for an experienced nursing professional to make a meaningful impact on patient outcomes, quality initiatives, and nursing excellence across the organization. This highly visible role partners closely with nursing and clinical leadership to drive strategic quality and patient safety initiatives while ensuring compliance with regulatory standards. The Coordinator serves as a trusted resource and change agent, helping teams identify opportunities for improvement, implement best practices, and strengthen a culture of safety and continuous improvement.
We are seeking a self-motivated leader who thrives in an autonomous environment and has a strong background in project management, quality improvement, and data analysis. This individual will lead complex initiatives from concept through implementation, using data to identify trends, measure outcomes, and guide decision-making. Success in this role requires the ability to effectively influence teams, build collaborative relationships, and manage multiple priorities while maintaining a focus on achieving measurable results.
Current priorities include reducing colon surgery infections, advancing evidence-based practice initiatives, and improving nursing-sensitive quality indicators. This position offers the best of both worlds: a blend of strategic, data-driven work and hands-on operational engagement. The Coordinator will spend time analyzing performance metrics and developing improvement strategies, while also maintaining a strong presence in clinical areas to support staff, provide education, and drive sustainable change.
Ideal candidates are passionate about improving patient care, energized by solving complex challenges, and excited by the opportunity to lead initiatives that directly impact quality, safety, and the overall patient experience. This role is well-suited for someone who enjoys being both behind the scenes influencing outcomes through data and on the front lines partnering with teams to make those improvements a reality.
are those tasks, duties and responsibilities that are performed with or without reasonable accommodation. Works in conjunction with UHSH Chief Nursing Officer/Vice President Patient Care Services or CMH Vice President of Clinical Services, Patient Care Services Leadership, and Quality Management, as well as UHS system members. Reviews regulatory requirements from Joint Commission/ACHC, Department of Health, and CMS as they apply to Patient Care Services (PCS).
At UHSH, Manages the Assistant Coordinator of Nursing Quality and Safety. At CMH, Manages MDS assessment entries and submissions. At CMH, Supports Swing Bed program operations and regulatory compliance.
Coordinates with Quality Management to identify quality issues. Participates in multiple interdisciplinary committees which focus on quality, fall prevention, and safe patient handling. Analyzes data and reports from these committees to identify areas of improvement for Patient Care Services.
Works with Nursing Leadership to implement plans which will facilitate improvement in areas identified. Acts as a resource and consultant to nurse managers, nursing staff, and nursing education staff. Participates in unit specific quality improvement plans using the PDSA model and implements rapid action plans as needed and supports sustainability for action plans.
Participates in and supports Nursing councils, committees, and leadership meetings by providing performance improvement data, updates from special projects, updates related to regulatory issues, nursing practice issues and other meetings that impact the falls prevention program. Site coordinator for NDNQI program. Reviews data from these reports to make recommendations to entity’s Nursing Leadership (i.e.
Chief Nursing Officer, VP, DONs, SLMs, and/or Assistant Coordinator of Nursing Safety and Quality) on nurse-sensitive quality issues. Acts as a resource and consultant to UHSH Nursing Education and Professional Practice or CMH Training and Development related to educational requirements, policy and procedure updates, and form changes that will require education for all nursing staff. Non-Essential Functions:Duties the employee may perform that are not essential as defined in the
. Will perform additional responsibilities, as requestedEducation/ExperienceMinimum Required:Bachelor’s Degree in Nursing or Healthcare Administration (For CMH, must at minimum be currently enrolled in Bachelor's program and complete within 2 years of hire)Three (3) years of experience in a hospital setting to include background in clinical operations, quality improvement, regulatory compliance, and patient safetyLean Expert required within 1 yearPreferred:Lean ExpertFor CMH, MDS experience in LTC or Swing Bed settingLicense/CertificationMinimum Required:Current New York State license as a Registered NurseCPR within 3 months of hirePreferred:Professional certification in a related specialty Work EnvironmentWork is performed in an offices or meeting rooms which require working in proximity to other employees and patients.
Rooms are air conditioned and heated. Sitting for long periods with some travel to other UHS System facilities. PPE (Eyewear, Masks, Face shields, Shoe covers, and Gloves) as required by UHS Hospitals Infection Control policies.
Age of Patients ServedNot ApplicableHIPAA Roles-Based Access to Patient InformationAll – Access to patient information, including restricted information – Level 4Staff SupervisedAt UHSH, 1 – Assistant Coordinator of Nursing Safety and QualityAt CMH, none